Provider Demographics
NPI:1477748374
Name:HUANG, WANTING (TLPC)
Entity Type:Individual
Prefix:MS
First Name:WANTING
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:TLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 N WATER
Mailing Address - Street 2:SUITE #2
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3855
Mailing Address - Country:US
Mailing Address - Phone:316-267-3825
Mailing Address - Fax:316-267-3843
Practice Address - Street 1:731 N WATER
Practice Address - Street 2:SUITE #2
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3855
Practice Address - Country:US
Practice Address - Phone:316-267-3825
Practice Address - Fax:316-267-3843
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1892101YP2500X
KSA0100482261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional